[email hidden] (Dr. Andrew B. Chung, MD/PhD) wrote in message news:<[email hidden]>...
Quoted message said:"Derek F" <[email hidden]> wrote in message news:<[email hidden]>...
Quoted message said:Two questions, do you think that zero drinking had an efeect on his BP?
Yes.
Quoted message said:and
do you really think that 120/65 is too low while still on medication?If there are associated symptoms, perhaps.
Quoted message said:I
normally start the day around 170/86 and come down to 120/60 by night time.
Yesterday morning my BP was only 120/64 before taking my 240mg Securon and
25mg Losartan by bedtime it was 113/57.Without symptoms, that should be fine.
I also have white coat syndrome, although it isn't as bad as it once
was.
Three years ago, after a few systolic BP readings over 160, I agreed
with doc that medication was a wise choice. Home monitor readings
(machine was checked against one in docs office) were around
140-145/70 pre-treatment, then dropped to upper 120s/70s after
starting 20mgs/day of lisinopril.
Fast foreward to present. After increasing aerobic exercise regimine
(lots of running and volleyball), dropping about 15 lbs (went from a
bodyfat of 18% to a lean 14% at 175lbs), and a more relaxed attitude
toward BP readings (my white coat syndrome is actually BP monitor
anxiety), my home readings are now generally below 110/70. Last night
I had 3 readings below 99/60!
I've also had two readings of 122/60 in medical settings in last few
weeks. Of some concern is the fact that I get a bit hypotensive/dizzy
when standing quickly, particularly on this low-carb diet I'm on.
I'm wondering if any risks of remaining on medication outweigh the
benefits. If my BP w/o the ACE inhibitor is, say, around 130/70, would
I be better off staying on the med, thus keeping my systolic BP below
120? Is 20mg/day of lisinopril good for about 10mm Hg? I'm assuming
that the dizziness I sometime get will subside once I resume eating
carbs, reasoning that the low carb diet lowers my overall blood volume
and electrolyte level. The dizziness is not a great concern at this
time (relatively modest), although I did hit the floor once last year.
I actually like the feeling, since it is a stong indicator that my BP
is not high!
Thanks for any input.
Mike
ps - I am not an avid endorser of low-carb diets. They just work well
for me.